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© 1984 Oxford University Press

research-article

Evaluation of German Cancer Screening by Cross-Sectional Data

F W CHWARTZ* and J G BRECHT{dagger}

*Central Research Institute of Health Insurance Physicians in the Federal Republic of Germany HaedenkampstraBe 5, 5000 Koln 41, Federal Republic of Germany.
{dagger} Dornier-System GmbH, 7990 Friedrichshafen, Federal Republic of Germany.

Annual cervical cancer screening in the Federal Republic of Germany (FRG) has been free for about 93% of the female population over 29 years old since 1971 (since 1980—over 19 years). In 1978 for women aged 30 to 60 years the participation rate was 45%. Four-fifths of screening examinations are done by office-based gynaecologists, one-fifth by GPs. The evaluation of the limited cross sectional data base shows that the age-standardized risk for cervix cancer or CIS is two thirds less for women with a previous smear in the last year compared with those with a first smear. In a continuously screened population we see a ‘comb-out-effect’ with rising detection costs per case (between 1976 and 1979 from 26360 to 33010 DM in constant prices). This compels against a further annual screening frequency in the FRG.

Received 1 October 1983


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